What FourteenFish does

FourteenFish is a UK-based healthcare technology company that provides appraisal, revalidation, and education platforms for healthcare professionals. Founded in 2012 by a GP and operated by Egton Medical Information Systems Ltd as a subsidiary of EMIS Group, the company serves general practitioners, GP trainees, nurses, midwives, paramedics, practice managers, and NHS trusts. Its core product is the Appraisal Toolkit, which supports annual GP appraisals including CPD tracking, learning diaries, colleague feedback (MSF), patient surveys (PSQ), and appraisal submission. The most strategically significant contract is the 2019 selection by the Royal College of GPs (RCGP) to power its UK Trainee Portfolio serving 13,000 GP trainees.

The platform is built on a modular architecture where the core Portfolio/Appraisal system serves as the foundation, with add-on products including exam preparation packages (AKT at £95 and RCA Plus), the GP Library (a CPD video library at £5.99/month with 50+ clinical update modules), 360-degree surveys (£28 each), FFARMS for organisation-level appraisal management, the Recorded Consultations tool, and a Friends & Family Test service. Technology distribution channels include native iOS and Android apps, browser extensions for Chrome, Safari, Edge, and Firefox, email-based CPD capture to [email protected], and a partner API (https://docs.fourteenfish.com/docs/partnerapi) enabling third-party integrations. The Recorded Consultations platform uses two-factor authentication, TLS 1.2 transit encryption, and AES-256 storage encryption, and embeds AI to scan trainee portfolios for sensitive patient data and speech recognition to interpret simple patient consent responses. The platform is ISO 27001 certified with UK and Ireland-only data residency.

FourteenFish operates primarily on a low-touch, self-serve subscription model with annual pricing that ranges from £15 for the NMC revalidation toolkit to £49.99 for the standard GP Appraisal Toolkit (30% discount for RCGP members; free for First5 GPs funded by RCGP). Distribution is direct via the company website and mobile app stores, supplemented by more than ten healthcare education and CPD partners — including Blue Stream Academy, NB Medical, Red Whale, MIMS Learning, Ardens, Practice Index, and SimplyCPD — that integrate to auto-sync CPD records. Enterprise FFARMS sales to NHS trusts and deanery group purchases add a direct sales layer for higher-value contracts.

Name

FourteenFish

Legal name

Egton Medical Information Systems Ltd

Website

https://fourteenfish.com

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

11–50 employees

Short description

FourteenFish is a UK-based healthcare technology company providing cloud-based appraisal, revalidation, and education platforms for GPs, GP trainees, nurses, midwives, paramedics, and NHS organisations, operated as part of EMIS Group.

Ownership category

akta.pro rank

Product category

Medical Appraisal and Revalidation Software

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Secure Browser, Device Lockdown & Exam Security Tools (EDAFADAI)

Keywords

• Medical appraisal software
• Healthcare CPD tracking
• GP revalidation platform
• Clinical education tools
• Medical ePortfolio

Headquarters

HQ city

Salisbury

HQ country

United Kingdom

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Software

Cost components

Technology or R&D, Personnel, Infrastructure, Operations, Marketing or Sales

Revenue model

1. Appraisal Toolkit Subscription: Annual subscription for GP Appraisal Toolkit at £49.99/year (inc VAT), with discounts for RCGP members (30%), group purchases (10% for 5+ GPs), and free for First5 GPs. Revenue is recurring annual subscription model.
2. AKT Package: One-time purchase of £95 (inc VAT) for 12 months access, extendable for £50/year before expiry. Exam preparation video and mock exam package.
3. GP Library Subscription: Monthly subscription at £5.99/month for clinical update video library. Can be stopped and started to suit user.
4. NMC Revalidation Toolkit: Annual subscription at £15/year for nurses and midwives revalidation toolkit.
5. Feedback Surveys: Patient and colleague surveys at £28 each, or £25.20 per survey when buying 5+ (10% discount). 360° multi-source feedback for practice staff.
6. Friends & Family Test (FFT): Monthly subscription at £12/month or £120/year including VAT for GP surgeries and dentists, with one month free trial.
7. Paramedic ePortfolio: Annual subscription at £42/year for paramedics with 10% group discount for 5+ users.

Pricing tiers

Go-to-market motion1 record

Distribution channels8 records

Marketing channels8 records

Core offering

FourteenFish provides a cloud-based software platform for healthcare professionals in the UK to prepare for annual appraisals, record continuing professional development (CPD), and complete revalidation requirements. Core offerings include the Appraisal Toolkit for GPs, the RCGP Trainee Portfolio, the NMC Revalidation Dashboard for nurses and midwives, and FFARMS for organisational appraisal management, complemented by exam preparation content (AKT, RCA) and feedback survey tools.

Product overview

FourteenFish is a healthcare technology company providing an integrated platform of appraisal, revalidation, and education tools for healthcare professionals in the UK. The core platform includes the Appraisal Toolkit for annual GP appraisals, the RCGP Trainee Portfolio for GP trainees, and specialty-specific tools for nurses, midwives, and paramedics. The platform operates on a modular architecture where the core Portfolio/Appraisal system serves as the foundation, with add-on products including exam preparation packages (AKT and RCA Plus), the GP Library for CPD videos, Surveys for multi-source feedback, and FFARMS for organizational appraisal management. Key features include mobile apps for iOS and Android, web clipper browser extensions, email-based CPD capture, and video consultation recording for training assessments. The platform integrates with numerous healthcare education providers (Blue Stream Academy, Ardens, MIMS Learning, Red Whale, NB Medical, SimplyCPD) for seamless CPD recording, and connects with NHS systems including GMC Connect. FourteenFish is part of the EMIS Group and operates under Egton Medical Information Systems Ltd.

Differentiator

Problem solved

Functional benefit

Products and services

• Appraisal Toolkit Annual appraisal preparation tool for GPs that enables recording CPD, managing supporting information, patient and colleague surveys, and appraisal submission. Includes portfolio functionality, web clipper, and email-based CPD capture. Priced at £49.99 per year.
• Surveys Multi-source feedback tools including 360-degree colleague surveys (MSF) and patient surveys (PSQ) tailored for healthcare professionals for GMC revalidation requirements. Priced at £28 per survey.
• GP Library CPD video library with over 50 clinical update modules covering common GP topics, over 1,000 knowledge test questions, and downloadable videos for offline viewing. Priced at £5.99 per month.
• AKT Package Exam preparation package for the MRCGP Applied Knowledge Test (AKT). Includes video series on exam technique, over 80 clinical update videos, mock AKT exams with randomised questions, and detailed performance reports. Priced at £95 for 12 months access.
• RCA Plus Exam preparation package for the RCGP Remote Consultation Assessment (RCA). Includes video series, clinical updates, and access to the FourteenFish Library.
• Communities Online group platform for discussing topics, storing documents, and facilitating practice management. Can be public or private and supports practice intranet-style collaboration and bulk subscription purchases.
• Nurse & Midwives Revalidation Dashboard NMC revalidation toolkit for nurses and midwives that automatically generates NMC forms based on entered information. Includes CPD recording, practice hours tracking, feedback collection, and reflection documentation. Priced at £15 per year.
• FFARMS Appraisal & Revalidation Management System for organisations and trusts. Includes GMC Connect integration, AOA reports, automatic reminders, and admin tools. Scalable from small practices to large appraisal services with 200+ appraisers.
• Portfolio App Mobile application for iPhone, iPad, and Android enabling work on Appraisal or Trainee Portfolio anytime, anywhere. Works online and offline, allowing entry of supporting information, learning logs, CPD, and reflections on the go.
• Web Clipper Browser extension for Chrome, Safari, and bookmarklet for Firefox and Edge that captures online learning as CPD entries in the Learning Diary. Highlights on pages can be added to the notes field.
• Recorded Consultations Platform for health professionals to record phone and video consultations as part of their training. Includes patient consent management, two-factor authentication, AES-256 encryption, and upload capability for externally recorded consultations.
• RCGP Trainee Portfolio Trainee portfolio platform selected by RCGP for UK GP trainees. Powered by FourteenFish platform with built-in AI for sensitive data scanning, progress tracking, capability mapping, and curriculum coverage visualisation.
• Friends & Family Test (FFT) NHS patient feedback solution for GP surgeries and dentists with paper, online, and manual entry options. Includes automatic monthly reporting for NHS England submission. Priced at £12 per month or £120 per year.
• Paramedic ePortfolio ePortfolio platform developed in collaboration with the College of Paramedics for paramedics to document development and learning. Includes HEE roadmap capability mapping for FCP paramedics and advancing practitioners. Priced at £42 per year.
• Learning Diary CPD recording system integrated throughout the FourteenFish platform. Supports capture via web clipper, email ([email protected]), and mobile app. Automatically syncs with appraisal portfolio.

Quantifiable outcome

• Survey results delivered within 1 working day
• +2 more outcomes

Named customers3 records

Segments7 records

Ideal customer profiles6 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration22 records

AI capability4 records

Feature10 records

Partnerships

Ten partnerships are on record, tiered core and minor.

• Blue Stream AcademycoreTechnology or Integration · 13 December 2021System integration with Blue Stream Academy eLearning. If all GPs in a practice use FourteenFish, they get 25% off Blue Stream Academy eLearning Suite. FourteenFish users get 15% off Appraisal Toolkit when linking accounts. Automatic syncing of eLearning to FourteenFish as CPD.
• RCGP (Royal College of General Practitioners)coreStrategic or Co-development Partner · 12 September 2019In 2019, FourteenFish was selected by RCGP as the new supplier for its Trainee Portfolio, serving 13,000 GP Trainees in the UK. The platform is powered by the same system as FourteenFish Appraisal Toolkit. RCGP members receive 30% discount on Appraisal Toolkit, and First5 GPs get free access fully funded by RCGP.
• NB Medical EducationcoreTechnology or IntegrationCPD Tracker integration with FourteenFish Portfolio with auto-sync option. FourteenFish customers get £25 discount on NB Plus subscription. NB Medical Education customers get 15% off FourteenFish Appraisal Toolkit.
• Red WhalecoreTechnology or IntegrationRed Whale CPD tracker seamlessly links to FourteenFish with automatic upload of learning entries. Redwhale.co.uk users get 15% discount on Appraisal Toolkit when accounts are linked.
• Doctors.net.ukminorGTM or Marketing PartnerUK's largest professional network of doctors. Doctors.net.uk users with confirmed email get 10% discount on FourteenFish Appraisal Toolkit.
• Scion PublishingminorGTM or Marketing PartnerMedical and biomedical science textbook publisher. FourteenFish users get 25% discount off all Scion Publishing books using code 14fish at checkout.
• Pallant Medical ChambersminorGTM or Marketing PartnerLocum GP chambers. All Pallanteers get 10% discount off Appraisal Toolkit plus free 5-yearly patient and colleague MSF which Pallant pays for.
• Not Just a GPminorGTM or Marketing PartnerSupport provider for newly-qualified GPs offering masterclasses and educational programmes. FourteenFish users get 10% discount on masterclasses plus first 3 months subscription free.
• College of ParamedicscoreStrategic or Co-development PartnerFourteenFish worked with College of Paramedics to develop e-portfolio for paramedics. Full members of College get special discount on FourteenFish subscription. Capability mapping aligned with HEE roadmap for FCP paramedics.
• EMIS GroupcoreOthersFourteenFish is part of EMIS Group (Egton Medical Information Systems Ltd). EMIS is a major UK healthcare software provider including EMIS Web, EMIS-X, and other primary care solutions.

Scale indicators6 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• MyMedicalAppraisal: UK-based online appraisal toolkit for doctors preparing for GMC revalidation, offering CPD tracking, supporting information capture, and appraisal submission workflows that directly overlap with FourteenFish's Appraisal Toolkit.
• Edgecumbe Doctor 360: Specialises in 360-degree multi-source feedback (MSF) and patient surveys for UK doctors and healthcare organisations, competing directly with FourteenFish's Surveys product for GMC revalidation feedback requirements.
• MAGMA / Formic Medical Appraisal: UK provider of medical appraisal software used by GPs and appraisers; explicitly referenced by FourteenFish users as the incumbent they switched away from, making it the closest direct competitor in the GP appraisal toolkit category.
• Clarity Appraisal: UK supplier of appraisal and revalidation software for medical professionals, targeting the same NHS, GP, and doctor segments with comparable CPD tracking and appraisal submission functionality.

Broad incumbents

• TPP (SystmOne): Major UK primary care IT vendor whose SystmOne clinical system is widely deployed across NHS GP practices and trusts; a broad incumbent whose potential entry or partnership in appraisal workflows could materially affect FourteenFish's enterprise expansion path.
• Allocate Software: UK-headquartered workforce and appraisal software provider with healthcare and public-sector clients; overlaps with FourteenFish on appraisal process management, particularly for trusts and large organisations running multi-appraiser programmes.
• Cegedim (Vision Health): Global healthcare technology group with a UK GP clinical system (Vision/InPractice) footprint; comparable as a broader incumbent serving the same UK primary care organisations that FourteenFish targets through FFARMS.
• EMIS Web: Sister product within the same EMIS Group parent; a leading UK primary care clinical system used by the majority of GP practices. Offers adjacent workforce and appraisal functionality, creating both internal alignment opportunities and overlap with FourteenFish's FFARMS.

Others

• NB Medical Education: UK provider of CPD education and exam preparation for GPs, integrated with FourteenFish via CPD tracker auto-sync; comparable as a content and education partner competing for the same CPD budget pool rather than the platform layer.

Emerging players

• Meddbase: UK-based cloud practice management and clinical platform serving private practices and NHS-affiliated providers; overlaps with FourteenFish at the practice management and GP workflow layer, particularly for clinics adopting integrated SaaS stacks.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/fourteenfish
• YouTubeyoutube.com/c/fourteenfish
• Facebookfacebook.com/FourteenFish

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about FourteenFish